Individual
DR. PAUL A DEBLASSIE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2201 SAN PEDRO DR NE, SUITE 228 BLDG. 2, ALBUQUERQUE, NM 87110-4133
(505) 884-2292
Mailing address
2201 SAN PEDRO DR NE, SUITE 228 BLDG. 2, ALBUQUERQUE, NM 87110-4133
(505) 884-2292
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
257
NM
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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